TERESA ANN CRUTCHLEY (NPI# 1760492102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760492102 |
| Entity Type | Individual |
| Full Name | TERESA ANN CRUTCHLEY |
| Credential | M.D. |
| Practice Address |
6800 W Ih 10 Suite 130 San Antonio TX 78201-2038 |
| Mailing Address |
8109 Fredericksburg Rd Physician Practice Services San Antonio TX 78229-3311 |
| Practice Telephone | 2109321487 |
| Practice Fax Number | 2109321951 |
| Mailing Telephone | 2109321487 |
| Mailing Fax Number | 2109321951 |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2012-06-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 2006-00871 | NC | Allopathic & Osteopathic Physicians |
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
N2045 | TX | Allopathic & Osteopathic Physicians |
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
MD2003-0671 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 201160305 | 05 | |
| TX | BCBSTX | 8DC256 | 01 |
| Street Address |
6800 W IH 10 SUITE 130 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78201-2038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487650008 | Steven E Daniels | Internal Medicine | 6800 W Ih 10, Suite 350, San Antonio, TX 78201-2038 | 2005-06-28 |
| 1356661904 | Robert George William Girling V | Orthopaedic Surgery | 6800 W Ih 10, Ste 200, San Antonio, TX 78201-2041 | 2010-06-06 |
| 1306877766 | Richard Marquez | Physician Assistant | 6800 W Ih 10, Suite 200, San Antonio, TX 78201-2011 | 2006-07-05 |
| 1962443812 | Gary J Maszak | Internal Medicine | 6800 W Ih 10, Suite 200, San Antonio, TX 78201-2038 | 2006-06-10 |
| 1376582460 | Umang H Shah | Internal Medicine | 6800 W Ih 10, Suite 350, San Antonio, TX 78201-2038 | 2006-06-05 |
| 1295787653 | Charles L Roeth | Internal Medicine | 6800 W Ih 10, Suite 350, San Antonio, TX 78201-2038 | 2006-05-16 |
| 1730142688 | James A Knight | Specialist | 6800 W Ih 10, Suite 300, San Antonio, TX 78201-2042 | 2006-04-11 |
| 1619930823 | Karen M Summy | Nurse Practitioner | 6800 W Ih 10, Suite 300, San Antonio, TX 78201-2042 | 2006-04-10 |
| 1215906979 | Obinna Gift Isiguzo | Specialist | 6800 W Ih 10, Suite 350, San Antonio, TX 78201-2038 | 2006-03-15 |
| 1760457469 | Jamil Ayub Malik | Internal Medicine | 6800 W Ih 10, Suite 350, San Antonio, TX 78201-2038 | 2006-02-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043864648 | Woodlawn Lake Dental Partners Pllc | Dentist | 1707 Williams, San Antonio, TX 78201 | 2019-07-31 |
| 1912559840 | Tara Devi Nath | Dentist | 1770 Williams, San Antonio, TX 78201 | 2019-07-11 |
| 1205329042 | Louis A Gonzalez | Registered Nurse | 2362 W Gramercy Pl, San Antonio, TX 78201 | 2018-06-06 |
| 1194212860 | Zarzamora Healthcare LLC | Pharmacy | 6800 W Ih 10 # 200a, San Antonio, TX 78201 | 2018-04-18 |
| 1891211926 | Jessica Ann Salazar | Specialist/Technologist | 511 Crestview Dr, San Antonio, TX 78201 | 2017-08-21 |
| 1093262172 | Access Dental of Fredericksburg Pa | Dentist | 4315 Fredericksburg Balcones Height, 100a, San Antonio, TX 78201 | 2016-09-06 |
| 1144664962 | Raymond Evan Skunda | Orthopaedic Surgery | 6800 W Ih 10 Ste 250, San Antonio, TX 78201 | 2013-04-23 |
| 1114289477 | Shaun D Perryman | Dentist | 4522 Fredericksbug Rd., Ste A28, San Antonio, TX 78201 | 2012-06-13 |
| 1871872093 | Jose Miguel Urencio Marcue | Surgery | 6800 W Ih 10 Ste 200, San Antonio, TX 78201 | 2011-08-04 |
| 1962719658 | Julio C Mata | Specialist/Technologist, Other | 426 Concord Pl, San Antonio, TX 78201 | 2010-09-02 |
| Find all providers in zip 78201 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356980163 | Jeffrey M. Martinez, M.d., P.a. | Surgery | 525 Centre Oak Drive, Suite 140, San Antonio, TX 78258 | 2019-12-26 |
| 1730518499 | Robert P Morales, M.d.,p.a. | Surgery | 5814 Hollyhock Rd, San Antonio, TX 78240-2001 | 2013-11-04 |
| 1891957627 | Jeffrey Joseph Stein | Surgery | 4330 Medical Dr Ste 120, San Antonio, TX 78229-3353 | 2008-07-02 |
| 1154545986 | Varicose Vein Clinic - Northwest, P.a. | Surgery | 4330 Medical Dr Ste 100, San Antonio, TX 78229-3353 | 2007-04-12 |
| 1396791570 | Peripheral Vascular Associates, P.a. | Surgery | 5047 Sherri Ann Rd, San Antonio, TX 78233-6213 | 2006-05-26 |
| 1912974023 | Zachary M Arthurs | Surgery | 4025 E Southcross Blvd Ste 15, San Antonio, TX 78222-3641 | 2006-03-07 |
| 1295731164 | Jeffrey M. Martinez | Surgery | 525 Centre Oak Drive, Suite 140, San Antonio, TX 78258 | 2005-06-24 |
| 1831195957 | Daniel D Tamez Jr. | Surgery | 610 N Main Avenue, San Antonio, TX 78205-2014 | 2005-06-23 |
| 1861498982 | Ronald L. Blumoff | Surgery | 6800 Park Ten Blvd, Ste 154 E, San Antonio, TX 78213-4211 | 2005-06-23 |
| 1689679151 | Patrick A Hartsell | Surgery | 4330 Medical Dr, Ste 120, San Antonio, TX 78229-3342 | 2005-06-20 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78201 |
Please comment or provide details below to improve the information on TERESA ANN CRUTCHLEY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.